Caracterización de nódulos pulmonares resecados. Experiencia de manejo por un programa multidisciplinario

Background: Pulmonary nodules are common, and surgery is the only alternative that allows a diagnostic and therapeutic management in a single procedure. Aim: To report the epidemiological, radiological, surgical and pathological features of excised pulmonary nodules. Material and Methods: Review...

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Autores principales:	Vega S.,Javier, Lazo P.,David, Undurraga M.,Felipe, Clavero R.,Jóse Miguel, Rodríguez D.,Patricio
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2018
Materias:	Adenocarcinoma of Lung Multiple Pulmonary Nodules Thoracic Surgery Video-Assisted
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001101261
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spelling	oai:scielo:S0034-988720180011012612019-02-13Caracterización de nódulos pulmonares resecados. Experiencia de manejo por un programa multidisciplinarioVega S.,JavierLazo P.,DavidUndurraga M.,FelipeClavero R.,Jóse MiguelRodríguez D.,Patricio Adenocarcinoma of Lung Multiple Pulmonary Nodules Thoracic Surgery Video-Assisted Background: Pulmonary nodules are common, and surgery is the only alternative that allows a diagnostic and therapeutic management in a single procedure. Aim: To report the epidemiological, radiological, surgical and pathological features of excised pulmonary nodules. Material and Methods: Review of medical records of patients in whom a pulmonary nodule was excised between 2014 and 2018. Those with incomplete data or without a pathological study were excluded from analysis. Results: We retrieved 108 records and 8 had to be excluded, therefore 100 patients aged 34 to 82 years (57% females) were analyzed. Sixty percent had a history of smoking. Mean nodule size was 16 mm and the solid type was the most common (65%). Forty five percent of nodules had irregular margins and 55% were in the superior lobes. All patients operated by video-assisted thoracoscopic surgery and 40% underwent a lobectomy. Malignant lesions were observed in 87% of biopsies and a pulmonary adenocarcinoma was found in pathology in 40%. Conclusions: A multidisciplinary approach of pulmonary nodules, using adapted international guidelines, accomplishes an appropriate management, decreasing unnecessary surgical interventions.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.11 20182018-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001101261es10.4067/S0034-98872018001101261
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Adenocarcinoma of Lung Multiple Pulmonary Nodules Thoracic Surgery Video-Assisted
spellingShingle	Adenocarcinoma of Lung Multiple Pulmonary Nodules Thoracic Surgery Video-Assisted Vega S.,Javier Lazo P.,David Undurraga M.,Felipe Clavero R.,Jóse Miguel Rodríguez D.,Patricio Caracterización de nódulos pulmonares resecados. Experiencia de manejo por un programa multidisciplinario
description	Background: Pulmonary nodules are common, and surgery is the only alternative that allows a diagnostic and therapeutic management in a single procedure. Aim: To report the epidemiological, radiological, surgical and pathological features of excised pulmonary nodules. Material and Methods: Review of medical records of patients in whom a pulmonary nodule was excised between 2014 and 2018. Those with incomplete data or without a pathological study were excluded from analysis. Results: We retrieved 108 records and 8 had to be excluded, therefore 100 patients aged 34 to 82 years (57% females) were analyzed. Sixty percent had a history of smoking. Mean nodule size was 16 mm and the solid type was the most common (65%). Forty five percent of nodules had irregular margins and 55% were in the superior lobes. All patients operated by video-assisted thoracoscopic surgery and 40% underwent a lobectomy. Malignant lesions were observed in 87% of biopsies and a pulmonary adenocarcinoma was found in pathology in 40%. Conclusions: A multidisciplinary approach of pulmonary nodules, using adapted international guidelines, accomplishes an appropriate management, decreasing unnecessary surgical interventions.
author	Vega S.,Javier Lazo P.,David Undurraga M.,Felipe Clavero R.,Jóse Miguel Rodríguez D.,Patricio
author_facet	Vega S.,Javier Lazo P.,David Undurraga M.,Felipe Clavero R.,Jóse Miguel Rodríguez D.,Patricio
author_sort	Vega S.,Javier
title	Caracterización de nódulos pulmonares resecados. Experiencia de manejo por un programa multidisciplinario
title_short	Caracterización de nódulos pulmonares resecados. Experiencia de manejo por un programa multidisciplinario
title_full	Caracterización de nódulos pulmonares resecados. Experiencia de manejo por un programa multidisciplinario
title_fullStr	Caracterización de nódulos pulmonares resecados. Experiencia de manejo por un programa multidisciplinario
title_full_unstemmed	Caracterización de nódulos pulmonares resecados. Experiencia de manejo por un programa multidisciplinario
title_sort	caracterización de nódulos pulmonares resecados. experiencia de manejo por un programa multidisciplinario
publisher	Sociedad Médica de Santiago
publishDate	2018
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001101261
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Caracterización de nódulos pulmonares resecados. Experiencia de manejo por un programa multidisciplinario

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